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SaN JOAQWN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEP RTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> I AR0002941 <br /> T n2 INVOICE AccountlD -�- : <br /> ��9�Q/1✓_ l�l�� � Facility ID FA0003364 <br /> �S-�3yo©o5 <br /> �� C � 1/30!2012 <br /> ���^r� ��� U 5 �Vl� Q.� I�1�11 Date Printed � <br /> i <br /> RE : COTTA& FERREIRA BAY 6-L� <br /> GOTTA & Oq_g W \ 7651 E EIGHT MILE RD L( C <br /> 7651 E EIGHT MILE RD STOCKTON, CA 95212 <br /> STOCKTON, CA 5212 <br /> OWNER : COTTA,JOHN &JOHN FERREIRA <br /> Date Health Amount <br /> Program Descdpti n <br /> Invoice# IN0225745--Date of Invoice 1/30/2012 I I��IIIIIIIIII'IIIIIIIII�IIIIfIIIIIIIIIIII IIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIII'IIIIII <br /> 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/27/2012 2223 AGRICULTURAL HAZ MAT STORAGE FACILITY $ 18.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTR DNtC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total for this Invoice $ 280.00 <br /> Payment Due Date 2129120-12 <br /> TOTAL DUE this Billing Period S 280.00 <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Feed Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254 rpt <br />